Individual
MR. CALVIN JOHNNY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 MILL ST BLDG M, SPRINGFIELD, OR 97477-4597
(541) 942-3939
Mailing address
PO BOX 5, COTTAGE GROVE, OR 97424-0001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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